Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $26.43 / $121.14	Professional		$21.79	$26.43	$121.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $25.50	Professional		$25.50	$25.50	$25.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $37.79 / $37.79	Facility		$37.79	$37.79	$37.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $43.45 / $147.28	Professional		$29.93	$43.45	$147.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $44.54 / $44.54	Professional		$40.26	$44.54	$44.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $37.79 / $37.79	Facility		$37.79	$37.79	$37.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $36.95 / $37.36	Professional		$25.50	$36.95	$37.36
United Facility/Professional Professional Modifier Low / Median / High Price $53.25 / $74.72 / $112.08	Professional		$53.25	$74.72	$112.08